Jerry Miller, MD

NPI #1053315697 in Kingsport, Tennessee

Provider Information

NPI Number: 1053315697
Entity Type: Individual
Name: Jerry Miller, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 10, 2005
Last Updated: Sep 22, 2009

Practice Location

Address: 105 W STONE DR
Address 2: STE 3A
City: Kingsport
State: Tennessee
ZIP Code: 37660-3256
Phone: (423) 392-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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